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Título
Patients With Neck Pain are Less Likely to Improve if They Experience Poor Sleep Quality
Autor
Facultad/Centro
Área de conocimiento
Título de la revista
The Clinical Journal of Pain
Número de la revista
8
Datos de la obra
Seco Calvo, J. Á.; Kovacs, F. M.; Royuela, A.; Melis, S.; López Sánchez, C. A.; Díaz Arribas, M. J.; Merli, M.; Núñez, M.; Martínez Rodríguez, M. E.; Fernández Cuesta, M. C.; Gestoso, M.; Mufraggi, N.; Moyá, J.; Rodríguez Pérez, V.; Torres Unda, J.; Burgos Alonso, N.; Gago Fernández, I.; Abraira, V. (2015). Patients With Neck Pain are Less Likely to Improve if They Experience Poor Sleep Quality. The Clinical Journal of Pain, 31, 713-721(8), https://doi.org/10.1097/AJP.0000000000000147
Editor
Lippincott, Williams & Wilkins
Fecha
2015
ISSN
0749-8047
Zusammenfassung
[EN]
Objective:
To assess whether sleep quality (SQ) at baseline is associated with improvement in pain and disability at 3 months.
Materials and Methods:
Four hundred twenty-two subacute and chronic patients with neck pain (NP) were recruited in 32 physiotherapy, primary care, and specialized centers. NP, referred pain, disability, catastrophizing, depression, and SQ were assessed through validated questionnaires, upon recruitment and 3 months later. Correlations between baseline scores were calculated through the Spearman coefficient. Improvements in NP, disability, and SQ were defined as a reduction of ≥30% of baseline score. Six estimative logistic regression models were developed to assess the association between baseline SQ and improvement of NP, baseline SQ and improvement of disability, baseline NP and improvement of SQ, baseline disability and improvement of SQ, the evolutions of NP and SQ, and the evolutions of disability and SQ.
Results:
Most patients were subacute and mildly impaired. Regression models showed that better SQ at baseline was associated with improvement of NP (odds ratio=0.91 [95% confidence interval, 0.83-0.99]), but not disability (1.04 [0.95-1.13]); the improvement of SQ was associated with more severe NP at baseline (1.26 [1.07-1.49)], but not with baseline disability (0.99 [0.97-1.02]); and that improvement in SQ was associated with improvements in NP (3.48 [1.68-7.20]), and disability (5.02 [2.39-10.11]).
Discussion:
NP is less likely to improve in patients with poorer SQ, irrespective of age, sex, catastrophizing, depression, or treatments prescribed for NP. Future studies should confirm these results with more severely impaired patients.
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